PINELAKE PHYSICIAN PRACTICE LLC NPI 1841900347

NPI Information

  • NPI: 1841900347
  • Provider Name: PINELAKE PHYSICIAN PRACTICE, LLC
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Address: 1029 MEDICAL CENTER CIR STE 204
    MAYFIELD, KY
    ZIP 42066
  • Phone: (270) 251-4545

Map and Directions

Get Directions

NPI Details

PINELAKE PHYSICIAN PRACTICE, LLC is a rural health clinic center in Mayfield, KY. PINELAKE PHYSICIAN PRACTICE, LLC NPI is 1841900347. The provider is registered as an organization entity type.

The provider's business location address is:

1029 MEDICAL CENTER CIR STE 204
MAYFIELD, KY
ZIP 42066-189
Phone: (270) 251-4545

The provider's authorized official is Charlotte Lawrence .
The authorized official title is Assistant Corporate Secretary and has the following contact phone number (615) 920-7688.

The enumeration date for this NPI number is 11/25/2022 and was last updated on 11/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR1300XClinic/CenterRural HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.